MS. CAROLYN BETH DODGE (NPI# 1801037981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801037981 |
Entity Type | Individual |
Full Name | MS. CAROLYN BETH DODGE |
Credential | OTR |
Practice Address |
N27w5707 Lincoln Blvd Cedarburg WI 53012-2852 |
Practice Telephone | 2623767676 |
Practice Fax Number | 2623765208 |
Mailing Telephone | 2623767676 |
Mailing Fax Number | 2623765208 |
Enumeration Date | 2009-03-18 |
Last Update Date | 2009-03-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3714-026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | APPLICATIO PENDING | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972826972 | Carolyn R. Dodge | Counselor | 1 Jewell Road, Dixmont, ME 04932-0044 | 2010-03-04 |
Street Address |
N27W5707 LINCOLN BLVD |
City | CEDARBURG |
State | WI |
Zip Code | 53012-2852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033282116 | Extendicare Homes, Inc. | Skilled Nursing Facility | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2006-11-16 |
1891318978 | Lyndsay Young | Physical Therapist | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2020-05-22 |
1518520212 | Margaret Elizabeth French | Occupational Therapist | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2019-04-17 |
1891213625 | Nsh Cedarburg LLC | Skilled Nursing Facility | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2017-08-31 |
1285004408 | Jason Rudroff | Physical Therapist | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2015-09-30 |
1215329537 | Fmg Lincoln Boulevard Wisconsin LLC | Skilled Nursing Facility | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2015-02-24 |
1558767541 | Alexis Blenke | Occupational Therapy Assistant | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2014-11-18 |
1326456815 | Nicole Rezachek | Physical Therapy Assistant | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2014-07-28 |
1730529363 | April Fischer | Speech-Language Pathologist | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2013-06-27 |
1225380645 | Lynsi Albright | Physical Therapy Assistant | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2012-10-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639565351 | Angela Marie Phillips | Counselor | 8750 Western Rd, Cedarburg, WI 53012 | 2015-04-09 |
1922403641 | Nickolas Wimble | Hearing Instrument Specialist | W62n244 Washinton St, #104, Cedarburg, WI 53012 | 2014-10-23 |
1285902429 | Mary B Pistiner | Pharmacist | W62 N190 Washington Ave, Walgreens, Cedarburg, WI 53012 | 2011-12-02 |
1285931360 | Accuquest Hearing Centers | Clinic/Center | N54w65 Mill Street, Ste 800, Cedarburg, WI 53012 | 2011-02-25 |
1417283532 | Laura Egan Cutler | Speech-Language Pathologist | N87 W6334 Brookdale Dr, Cedarburg, WI 53012 | 2009-10-23 |
1790945053 | Diane M Kerkman | Licensed Practical Nurse | W63 N14264 Washington Ave #13, Cedarburg, WI 53012 | 2008-06-11 |
1346416856 | Robert H Schwengel | Dentist | W62n179 Washington Ave, Cedarburg, WI 53012 | 2008-05-05 |
1174710479 | Assisted Living Concepts Inc | Assisted Living Facility | W56 N225 Mckinley Blvd, Cedarburg, WI 53012 | 2007-10-01 |
1699968016 | Jay Timothy Brogelman | Occupational Therapy Assistant | N27 W5707 Lincoln Blvd., Cedar Springs Health and Rehabilitation Center, Cedarburg, WI 53012 | 2007-08-20 |
1053517722 | Bruce J Stevens | Dentist | N52 W6295 Mill Street, Cedarburg, WI 53012 | 2007-06-21 |
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Taxonomy Code | 225X00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457993248 | Jessica Niemeier | Occupational Therapist | N29w6275 Lincoln Blvd, Cedarburg, WI 53012-2353 | 2019-10-13 |
1750762746 | Rachel R Lawrence | Occupational Therapist | N18w6341 Carriage Trce, Apt 151, Cedarburg, WI 53012-2767 | 2015-06-15 |
1861898363 | Nicholas Nadolny | Occupational Therapist | 189 Green Bay Rd, Cedarburg, WI 53012-2901 | 2014-11-10 |
1154655918 | Margaret Margaret Aschenbrener | Occupational Therapist | 1971 Granville Rd, Cedarburg, WI 53012-9739 | 2009-09-28 |
1225184179 | Marlyn K Gassert | Occupational Therapist | W64n758 Washington Ave, Cedarburg, WI 53012-1360 | 2007-01-25 |
1518520212 | Margaret Elizabeth French | Occupational Therapist | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2019-04-17 |
1891098844 | Katherine Emma Obrien | Occupational Therapist | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2010-12-14 |
1992932909 | Debbie K Dlugopolski | Occupational Therapist | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2009-06-17 |
1285823161 | Ann V. John | Occupational Therapist | 4922 Columbia Rd, Cedarburg, WI 53012-9188 | 2007-10-17 |
1417165820 | Jennifer L Wooten | Occupational Therapist | N27w5707 Lincoln Blvd, Cedarburg, WI 53012-2852 | 2007-05-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.